| NPI | 1851348684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NE 889) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2022-08-18 |